Ngezinye izikhathi odokotela banikeza imithi ethile kakhulu yezifo zethu, akunjalo? Namuhla sizokhuluma ngomunye umuthi okhethekile. Lesi yisifutho samakhala. Kodwa lesi akusona nje isifutho. Lesi yinguqulo yokwenziwa yehomoni ekhona emizimbeni yethu. Ngakho ake sibone konke ngalo muthi obizwa ngokuthi i-Desmopressin.
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Kalula nje, iyini i-Desmopressin?
I-Desmopressin iyikhophi yokwenziwa ye-hormone ekhiqizwa ngokwemvelo emizimbeni yethu. Umsebenzi wayo oyinhloko ukulawula inani lamanzi emzimbeni nokulawula inani lomchamo okhiqizwayo. Iphinde isize ukulawula ukoma.
Odokotela basebenzisa lo muthi ikakhulukazi ezimweni eziningana zezokwelapha.
- I-Central Diabetes Insipidus: Nakuba inegama elifana nelithi Diabetes Mellitus, ayihlobene nayo. Lokhu kubonakala ngokuchama ngokweqile kanye nokoma ngokweqile. Ngakho-ke lo muthi unikezwa ukuze uwulawule.
- Ngemva kokulimala ekhanda noma ukuhlinzwa: Ngezinye izikhathi, ngemva kokulimala ekhanda noma ukuhlinzwa kobuchopho, ungase ulahlekelwe ukulawula umchamo. Lokhu kuyasetshenziswa nasezimweni ezinjalo.
- Ukulawula ukopha: Lo muthi unikezwa abantu abanezinkinga ezithile zokujiya kwegazi, njenge-hemophilia A kanye nesifo sika-von Willebrand, ukuze kumiswe noma kuvinjelwe ukopha.
- I-Nocturia: Lesi yisimo lapho abantu abadala bevuka ebusuku ukuze bachame njalo. Lo muthi usetshenziswa futhi ukulawula lokhu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Lokhu kubaluleke kakhulu. Ukuze uphephe, kubalulekile ukuxoxa ngalezi zinto nodokotela wakho ngaphambi kokuqala lo muthi. Uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela.
- Uma uke waba namahlule egazi emzimbeni ngaphambili
- Uma unekhala elicijile, unesilonda noma ukuvuvukala ekhaleni lakho,
- Uma une-cystic fibrosis
- Uma unesifo senhliziyo noma umfutho wegazi ophakeme
- Uma unesifo sezinso
- Uma utshelwe ukuthi izinga lakho le-sodium egazini liphansi
- Uma usebenzisa imithi yokukhipha isisu noma imithi ye-steroid
- Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo
- Uma une-allergy ku-desmopressin, vasopressin, noma yimuphi omunye umuthi, ukudla, noma idayi.
Uyisebenzisa kanjani kahle le mithi?
Lesi isifutho samakhala. Sisebenzise njengoba nje udokotela wakho ekutshelile, ngokwemiyalelo eselebula lomuthi. Thatha umthamo owubekiwe ngesikhathi owubekiwe.Ungalokothi usebenzise okungaphezu kwalokho udokotela akutshele khona.
Ungasebenzisi noma yisiphi esinye isifutho samakhala noma amaconsi ngenkathi usebenzisa lesi sifutho. Uma ungabaza, buza udokotela wakho.
Okubalulekile: Uma uphuthelwa umthamo, thatha kuphela uma sekuyisikhathi somthamo wakho olandelayo. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma umuthi usetshenziswa kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungalibali. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo, njengoba eminye imithi ingase ihlangane ne-desmopressin. Bheka leli thebula, futhi uzokwazi ukuliqonda kalula.
| Uhlobo lwesidakamizwa | Incazelo |
|---|---|
| Ungawuthathi lo muthi kanye nanoma yimuphi omunye umuthi. | |
| Ama-diuretics e-Loop | Imithi ekhipha amanzi emzimbeni (ekhulisa ukuchama). |
| Ama-steroid | Izibonelo: Imithi efana ne-Prednisolone ne-Cortisone. |
| Uma uthatha lo muthi, qiniseka ukuthi utshela udokotela wakho. | |
| Imithi yokugula kwengqondo | Eminye imithi esetshenziswa ukwelapha izimo ezinjengokucindezeleka nokukhathazeka. |
| Imithi yokwelapha isifo sokuwa (ukugula ngengqondo) | Izibonelo: I-Carbamazepine, i-Lamotrigine. |
| Amaphilisi okudambisa izinhlungu anamandla (izidakamizwa) | Eminye imithi yokwelapha ubuhlungu obukhulu. |
| Imithi yokubulala izinhlungu yohlobo lwe-NSAIDS | Imithi efana ne-ibuprofen ne-naproxen yokuvuvukala nobuhlungu. |
Izinto okufanele uzicabangele lapho uthatha imithi
- Inani lamanzi asetshenzisiwe: Lokhu kubaluleke kakhulu.
Khuluma nodokotela wakho mayelana nokuthi kufanele uphuze amanzi angakanani nsuku zonke. Ungaphuzi amanzi amaningi noma angaphansi kwesilinganiso esinconywayo. Ukushintsha kwenani lamanzi emzimbeni wakho kungabangela izinkinga ezinkulu zempilo.
- Ezinye izifo: Uma uhlaselwa yisisu njengokuhlanza, isifo sohudo, umkhuhlane, noma okunye ukutheleleka, yeka ukusebenzisa lo muthi bese ushayela udokotela wakho ngokushesha ukuze akunike iseluleko.
- Ukuhlolwa: Ngesikhathi uthatha lo muthi, udokotela wakho angase akucele ukuthi wenze izinto ezifana nokuhlolwa kwegazi. Ungaziyeki.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha . | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ubunzima bokuphefumula | Ukuzwa ukuqina nobuhlungu esifubeni. |
| Izinguquko ekushayeni kwenhliziyo | Ukwanda kwesilinganiso senhliziyo, ukushaya kwenhliziyo okungajwayelekile, kanye nezinguquko ekucindezelweni kwegazi. |
| Izimpawu ze-sodium ephansi | Ikhanda elibuhlungu kakhulu, ukozela, ukudideka, isicanucanu, ukuhlanza, ukudikiza kwemisipha, ukungahlaliseki, ukuquleka. |
| Ukwanda kwesisindo somzimba ngokuzumayo | Ukuvuvukala kwemilenze noma amaqakala. |
| Ezinye izimpawu ezinkulu | Ukopha okungavamile, ukudumba, ukukhathala okukhulu. |
| Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| Izici ezijwayelekile | Ikhanda elibuhlungu, ukungakhululeki ekhaleni, ukuphuma kwegazi ekhaleni, ikhala elicijile noma eligobhozayo , ukuthimula, isikhumba esibomvu. |
Uwugcina kanjani lo muthi uphephile?
Kunezinhlobo ezahlukene zalo muthi. Uhlobo ngalunye lunendlela ehlukile yokugcina umuthi. Ngakho hlola igama elisebhodleleni lakho lomuthi bese ulandela imiyalelo.
- Isifutho Sekhala se-DDAVP®: Gcina siqonde ngqo ezingeni lokushisa legumbi (phakathi kuka-20-25 Celsius).
- Isifutho Sekhala Se-Stimate®: Gcina esiqandisini (phakathi kwama-degree Celsius angu-4-8). Kodwa-ke, uma usohambweni, ungasigcina ekushiseni kwegumbi (ama-degree Celsius angu-22) kuze kube amasonto amathathu.
- Isifutho Sekhala Se-Noctiva®: Gcina siqonde esiqandisini (0-15 Celsius) ngaphambi kokuvula. Uma sesivuliwe, sigcine siqonde ekushiseni kwegumbi (20-25 Celsius). Lahla ngemva kwezinsuku ezingu-60 zokuvula.
Zonke lezi zinhloboGcina kude nezingane. Ungayisebenzisi uma iphelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Desmopressin umuthi okhethekile okufanele usetshenziswe kuphela ngeseluleko sikadokotela.
- Ngaphambi kokuthatha lo muthi, tshela udokotela wakho ngazo zonke izimo zezokwelapha onazo kanye nayo yonke eminye imithi oyithathayo.
- Landela imiyalelo kadokotela wakho mayelana nokuthi kufanele uphuze amanzi angakanani. Ungaphuzi kakhulu noma kancane kakhulu.
- Qaphela izimpawu zemiphumela emibi kakhulu (ikakhulukazi izimpawu zamazinga aphansi e-sodium). Uma uhlangabezana nanoma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Gcina imithi yakho ngendlela efanele ngokwegama lomkhiqizo wayo.
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